Surgical Aseptic Technique

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3 Historical perspectivesRemember germs and how to combat them was discovered in the mid 1800sInitially ill family members were cared for at homeNow ill members of society are cared for in the hospitalChances of cross contamination are high

4 Application Medical aseptic technique-“Practices intended to confine a specific microorganisms to a specific areaProtective – reduces the numbers of potentially infectious organismsClean – absence of almost all microorganismsDirty – soiled, denotes the likely presence of microorganisms some of which could cause an infection .”(Kozier)

10 Principles of S.A.T.The nurse must follow certain principles in order to maintain surgical asepsisFailure to do could result in placing the client at risk for infectionThese principles are same in all situations that requiring sterility.Injections, insertion of catheters etc.

13 Only Sterile Objects May Be Placed on a Sterile FieldStorage – must be dry and cleanAppropriate preparationPackaging must be intact

14 A Sterile Object or Field Out of the Range of Vision or an Object Held Blow the Person’s Waist Is ContaminatedNever turn your back on a sterile fieldSterile objects must be kept in view

15 A Sterile Object or Field Becomes Contaminated by Prolonged Exposure to AirLimit air currentsDo not laugh, sneeze, or talk over a sterile field- minimize movement around the sterile fieldReach around the sterile fieldWhen opening sterile equipment hold it as close as possible without touching the field

16 When a Sterile Surface Comes Into Contact With a Wet, Contaminated Surface, the Sterile Object or Field Becomes Contaminated by Capillary ActionPackages must be intactNote the water proof barriersWork on a dry surface

17 Fluids Flow in the Direction of GravitySurgical hand scrubHold forceps with tip down

18 Edges of the Sterile Field or Container Are Considered ContaminatedI inch all the way aroundPour liquid off open bottle discard and then pour the liquid